Wednesday, November 27, 2019

Beating essay-writing block, Nursing Standard - Emphasis

Beating essay-writing block, Nursing Standard Beating essay-writing block, Nursing Standard In his second article on writing skills for nursing students, Rob Ashton explains what to do when inspiration doesnt strike. D-Day has arrived. And the essay youve sat on for weeks is due tomorrow morning. Its not that you havent put pen to paper yet. In fact, youve done lots of research and written copious notes. But bringing them all together into an even semi-coherent essay has become what seems like an insurmountable task. Now youre staring hopelessly at a blank screen with a feeling of panic in the pit of your stomach. It threatens to overwhelm you. Fear not though. The first thing to understand is that youre certainly not alone in feeling this way. Writers block affects everyone at some time even famous authors. Biologically, it occurs because your brain perceives a harmless task as a dire threat, and starts to do everything it can to keep you away from it. An essay, though not exactly fun, cant actually harm you of course. But youre dealing with millions of years of evolution here, and mere logic may not be enough to beat the problem. The secret to blasting through it is to arm yourself with a set of techniques that will enable you to blast through those blocks. Put on your thinking cap Grab a pencil and paper and brainstorm what you want to include in your essay. Write down everything you can think of, including scientific studies, ideas, arguments and counter-arguments. Take a series of coloured pencils and group together the points that have elements in common. Then rank these groups in order of importance. Build an effective structure Next, write headings that relate to the groups in your brainstorm. For example, if your essay is to evaluate the clinical treatment of diabetes, you might write Medical model of diabetes and Social psychology of sugar consumption. You wont necessarily keep these headings in your final essay. Instead, think of them as guide posts to keep you on course. Find your flow Now and only now its time to put fingers to keyboard. But forget settling down for an all-nighter. Instead, set an alarm for five minutes from now, and write until it goes off. This will be far less daunting than seeing a marathon writing session stretching out before you. After all, how bad can five minutes be? Yet what youll probably find is that you start speeding up to try to beat the clock. And in doing so, youll start to create momentum. Three or four of these five-minute burst are normally all it takes to get things moving. For it to work, you have to be honest with yourself and stop at five minutes if its just not happening for you. But when you do, make sure you reset your alarm and start another five-minute session five minutes from now. Forget your grade Although your heart may be set on producing a first-class essay, put these thoughts aside while youre writing. Focusing fully on answering the essay question gives you the best chance of scoring top marks. Pay attention to detail Once you have your first draft, carefully comb through it and weed out any meaningless words. Make sure your opening paragraph directly answers the question and that youve fully explored your arguments. Finally, proofread carefully by stopping a pen at each word to make sure there are no typos or spelling mistakes. You dont need the mad panic of an imminent deadline to get started. So dont delay the writing process by doing too much research. Just take a deep breath, begin your brainstorm and write your way to essay success.

Saturday, November 23, 2019

Amargasaurus Profile

Amargasaurus Profile Name: Amargasaurus (Greek for La Amarga lizard:); pronounced ah-MAR-gah-SORE-us Habitat: Woodlands of South America Historical Period: Early Cretaceous (130 million years ago) Size and Weight: About 30 feet long and three tons Diet: Plants Distinguishing Characteristics: Relatively small size; prominent spines lining neck and back About Amargasaurus Most of the sauropods of the Mesozoic Era looked pretty much like most every other sauropod- long necks, squat trunks, long tails and elephant-like legs- but Amargasaurus was the exception that proved the rule. This relatively slim plant-eater (only about 30 feet long from head to tail and two to three tons) had a row of sharp spines lining its neck and back, the only sauropod known to have possessed such an imposing feature. (True, the later titanosaurs of the Cretaceous period, direct descendants of the sauropods, were covered with scutes and spiny knobs, but these were nowhere near as ornate as those on Amargasaurus.) Why did the South American Amargasaurus evolve such prominent spines? As with similarly equipped dinosaurs (like the sailed Spinosaurus and Ouranosaurus), there are various possibilities: the spines may have helped to deter predators, they may have had some kind of role in temperature regulation (that is, if they were covered by a thin flap of skin capable of dissipating heat), or, most likely, they may simply have been a sexually selected characteristic (Amargasaurus males with more prominent spines being more attractive to females during mating season). As distinctive as it was, Amargasaurus appears to have been closely related to two other unusual sauropods: Dicraeosaurus, which was also equipped with (much shorter) spines emanating from its neck and upper back, and Brachytrachelopan, which was distinguished by its unusually short neck, probably an evolutionary adaptation to the types of food available in its South American habitat. There are other examples of sauropods adapting fairly quickly to the resources of their ecosystems. Consider Europasaurus, a pint-sized plant eater that barely weighed a single ton since it was restricted to an island habitat. Unfortunately, our knowledge of Amargasaurus is limited by the fact that only one fossil specimen of this dinosaur is known, discovered in Argentina in 1984 but only described in 1991 by the prominent South American paleontologist Jose F. Bonaparte. (Unusually, this specimen includes part of Amargasaurus skull, a rarity since the skulls of sauropods are easily detached from the rest of their skeletons after death). Oddly enough, the same expedition responsible for the discovery of Amargasaurus also unearthed the type specimen of Carnotaurus, a short-armed, meat-eating dinosaur that lived about 50 million years later!

Thursday, November 21, 2019

Creation of Jewish State Essay Example | Topics and Well Written Essays - 2500 words

Creation of Jewish State - Essay Example The contact of British Empire with Africa became extensive from 1740 onwards. British traders used to make huge income and profits by exchanging manufactured goods for slaves in Africa and then selling slaves further in North America. These traders further amplified their profits by bringing cotton, sugar and tobacco back to Britain. British control bit by bit increased in South Africa and it took control of the Cape of Good Hope in 1795. In 1807, Britain outlawed slavery and hence its relations with Africa enhanced. Britain continued to follow its trial and error method of allying with local rulers and then amalgamating in conflicts between its cronies and their enemies. In the mean while, British gained ever-increasing influence in West Africa and in North Africa. In the 1830s and 1840s Britain increased its involvement in controlling a larger area of southern Africa. And in 1844 Britain was successful in taking the control of the Gold Coast of West Africa. Nevertheless during that period, missionaries and traders like David Livingstone were coming into contact with new African people. They were opening up trade routes and were establishing political alliances. This course of action speeded up when gold and diamonds were found in South Africa in the 1870s and 1880s. Then British came into a clash with the Boers and in due course it resulted in the Boer War of 1899-1902. And it helped the British to enjoy the overall control of the country which today is South Africa. There after from 1870 to 1900 Britain took control of increasingly large areas of West and North Africa. As West Africa was an important, helpful and valuable supply of gold and other trading goods. By 1890s, much of the coastal area of West Africa and parts of the lands which now are the parts of Nigeria, were under British control. In 1880s Britain successfully took control of Egypt. North Africa was an important area for Britain because it was on the trade route between Britain and it's most important and precious territory, India. In the time of 1929 British wanted to keep Jewish immigration limited, inadequate and restricted. Zionists, at that time were worried about the problem that immigration imposed on available resources in Palestine. They acknowledged their Migration to Palestine as an economic suffering. In the nineteen-twenties, Zionists bought some piece of land for agriculture in Palestine but poor and landless Muslims resented it. The Grand Mufti, al-Huseini along with other Muslim aristocrats tried to make money by selling this land to Zionist organizations at prices higher as compared to those prices at which they could sell to their fellow Muslims. At the same time they complained about Jews. Zionists increased aggression against the Jews where as Muslim leaders promoted calm, harmony and peace rather than aggression and hostility. At that time a conflict blows up between Arabs and Jews in Jerusalem. Huseini hold Jews accountable of having seized Muslim holy places in Jerusalem that were Al Aqsa and Al-Hara. In reaction to it they exasperated Arab mobs and they attacked Jews in Jerusalem and looted their homes. The attacks and looting was so extensive that it then broadened to

Tuesday, November 19, 2019

10 environmental science articles Article Example | Topics and Well Written Essays - 2250 words

10 environmental science articles - Article Example In 2008,twelve orphan chimpanzees were released back into the wild after being equipped with GPS tracking devices attached to collars.Six males and six females were released,all ranging between eight and twenty years of age,making this only the second time that captive chimpanzees were sent to live among wild chimpanzees Due to the tracking devices, researchers were able to monitor the activities of the chimpanzees, discovering that five of them created their own community in the area where they were originally released, two of which gave birth to healthy offspring. One of the other females integrated with success into a community of wild chimpanzees. By releasing the chimpanzees back into the wild, awareness programs and environmental education programs have increased, drawing attention from people who frequent the park. The release has also caused a halt in illegal hunting and fishing. It is because of the release that other sanctuaries are considering releasing some of their own b ack into the wild in the near future. These sanctuaries feel that the more people are educated about the animals being released, the more likely the animals will be able to survive in the wild without having to fear humans bringing harm to them or their environment. Article Quality The quality of the article could have been better. While it explained the benefits of releasing the chimpanzees into the wild and tracking them with GPS, the article could have gotten more into detail about how well the chimpanzees were adapting to their new surroundings. It also failed to go into detail about how people were being educated and supportive of the chimpanzees’ release. Article Topic The subject matter of this article is very interesting. There are often stories that are not so successful about animals being released into the wild. By using GPS to monitor the whereabouts and conditions of the chimpanzees, as well as informing people about the project, the release was able to be a succ ess. If other sanctuaries use similar tactics, perhaps more animal releases will be just as successful. Summary A study conducted by the Harvard School of Public Health revealed that an increased intake of berries is capable of decreasing the chances of men and women developing Parkinson’s disease. The study conducted also showed that men could decrease their chances even more by also eating apples, oranges, and other food items that contain flavonoids or anthocyanins, which have proven to be neuroprotective. Flavonoids and anthocyanins can be found in plants and fruits, but also in berries, chocolate, and citrus fruits. These dietary components are also known as vitamin P and citrin. This was the first study to focus on the impact of flavonoids on the development of Parkinson’s disease. The study consisted of 49,281 men and 80,336 women. They were each given a questionnaire that was used to determine the amount of flavonoids that each person took in on average. The co nnection between flavonoid intakes and risk of Parkinson’s disease was then analyzed. The participants were then followed for twenty years. During the twenty years, it was found that the more flavonoids that a male took in, the less of a chance he had at developing Parkinson’s. While women showed no significant results with flavonoids, it was revealed that women can decrease their risk by increasing their intake of anthocyanins. Article Quality The quality of the article is very good. It summarized the most important aspects of the study, such as who was involved, what took place, the results, and the importance of the study itself. However, the article could have gotten into more detail about the effects of flavonoids and anthocyanins and how they actually protect the brain. The article only informed the reader that these components are capable of protecting them, but it would be even more beneficial to know how. Article Topic The topic of the article is fascinating, informative, and very

Sunday, November 17, 2019

Economic History and Current India Essay Example for Free

Economic History and Current India Essay There have been recent studies of the entire history of the economy of india where it is possible to ananlyse where india stood its place in past and where it is currently held. Paul Birog made a thorough analysis of Asian countries GDP economic development of 1750-1918 where surprisingly the findings in 1700AD drawn economic statistics of world . China had 32. 8% GDP where as as india had 25% . UK at that time had 1. 8% GDP along with 1% GDP in USA. By the time of 1900 there was a total reversal of paradigm shift where US and UK had GDP growth of 41% whereas China and India suffered 1. 7% GDP overall. The western research shows that india was a economic giant . London economist Angus Madisson in 1990, one of the greatest british economist of all time was appointed by the OECD nations to verify Paul Birogs research along with different levels of assistances from different countries. Eventually in 2010 he published a 2000 year economy of India where it showed from 1AD India topped thed world with 34% GDP. Still in 1000AD it had 28% GDP. In the years 1500 and 1600 china overtakes india. Again in 1700 india overtakes china and finally the entire crash of the Indian economy began later in 1750’s where the british colonial overlords landed in the country and started looting the country and exploiting its resources. The OECD website refers in the â€Å"world economic history and millennium perspective† lists out all these information which have been quoted before. It is one of the most trusted and relied upon website to refer to the statistics of the world economies. Although the word society is absent completely in western society where Margaret Thatcher said in 1971, that there is nothing called as society. And today all the western accepts today is the alternate version of so called civil society. Now civil society is totally different from the traditional society where it can be suggested that it is a form of ‘anti society’. Civil society which is the current western trend is based on social contractual theory, which all the institution are based including out democratic government where each citizen is recognized as co-citizen in country rather than mutual brotherhood based society. For eg. In USA, in Philedelphia, a Son can file a case against his own father for divorce of relationship and can achieve his claim since there is no cultural society, it is a civil society where 2 people are viewed as co-citizens rather with any blood and brotherly relationship. The complete western understanding, their institutions, sociology, individualism, constitutional theory of west does not recognize normal basic human relationship. But whereas our Indian society has always been working entirely on human relations since the ages of time where india showed a huge economic superpower with traditional society. Today since Indian government which is puppying around the western ideology fail to realize that they are taking the economy of the nation into a huge catastrophy. In 1993, when Manmohan Singh was the finance minister invited jagadish bhagavati a neo economist from USA, who formed the entire Duncan WTO treaty for the situation crisis in india with its economic situation. He suggested that the problem with Indian people is that they are saving more than need which comes around 23%GDP,out of which 19 % GDP were only saved by Indians. His advise included to bring down the savings of the people by different means of taxations and other techniques to 9-10%. Out of which this 9 -10% should only be focused on food, shelter like basic needs and increase productions by employing more people and made a whole theory model on that. His theory on Indian situation stated that unless you destroy the family saving of the Indian people and bring it down to half of it, there was no chance of development. He also made a research on the Indian families that Indian woman played a vital role in taking hold of the savings of her family expenditures. So his ideas proposed to change the mentality of the reserved family woman to consumer based woman where she can be advertised to spend more of our money and change the family structure symmetrically in Indian society. In western society there is no propensity to save money assets, thus as a result many families are destroyed. Today 51% Americans are single parent family, out of which 41% children are born to unwed mothers, 20% born for school going children. 51% of the American people are dependent on government support on life insurance, health support etc. where as Indian people have always been dependent on society. Moreover the western economy is build on contractual interest based constitutional society which has led to time bomb ticking economy is USA and other European countries. Today the present scenario has changed the entire habitual thinking process of the people in India. They have a huge affiliated love towards the western society and its features less realizing the suicidal catastrophic and destructive features of its empire. The govt. in India always claim to be globalizing with the world but in reality, india is Americanizing by focusing only on American economic model. There are other traditional society based economies like Japan and germany wherr they instead of manipulating the crowd, they motivate their savings in their family and encourage only the financial institutions to put up money in trades of stock market. There is a huge commonality between the german or Japanese structure of economic history of rich cultural based society which our country could have adopted for the people but current democractic model is partially by the people but it has terribly failed to be for the people by inviting the civil society in our country. Indian economies,constitutions, institutions,sociology, philosophy, education etc all are based on the government economic blueprint of those same people who looted the country, colonized it and then destroyed the Indian GDP. CONCLUSION There are fraternity based economic models in this world with which we share commonality and our ideas should be to have a wider understanding of the world with whom we relate culturally and socially and only then our economic model can be aligned to them to achieve prosperity and serenity in our country.

Thursday, November 14, 2019

Looking Through Anothers Eyes :: Personal Narrative Writing

Looking Through Another's Eyes As we adjusted our binoculars before walking on the Anhinga Trail, I wondered if we would actually get to see anything exciting with our binoculars. Unfortunately, as the professor tried to help me adjust mine, we discovered that the new binoculars I had just purchased had double vision. Disappointed, I raised my hopes even higher that we would see something up close that we would not necessarily need the binoculars for. Headed down the path, we saw an Anhinga and a few other birds that stayed long enough for me to quickly borrow a friend’s binoculars. Not far down the path from seeing the Anhinga, all of us quickly glanced over to the right in the bushes where we saw something move. One of our professors walked over to the bushes, bent over, and picked up a snake with his bare hands. It was a harmless snake, a Black Racer, but the capture of the snake still shocked us all. The professor calmly picked up the snake and began talking about it. At that moment, we were all excited that we had our very own Steve Erwin. I was excited that I was able to see something without needing a pair of binoculars. As our professor continued displaying the snake and trying to keep it from moving, the snake reached up and latched onto his finger for about five seconds until it let go. Our professor, of course, had no reaction as he again calmly waited for the snake to let go of his finger. Just barely breaking the skin, and a little blood, the professor eventually put the snake down as we all watched it slither away into the bushes. At the moment that the snake took hold of our professor’s hand, I couldn’t help but wonder what was going through the snake’s tiny brain. Was it â€Å"Geez this guy looks big, maybe if I bite him he will let me go,† or was it â€Å"hmmm, this finger looks awfully tasty; I think I’ll try a bite.† What was the real reason for the snake biting our professor? Was it out of fear, curiousness, or hunger? Considering how small the snake was, most of us would assume that it was afraid and was protecting itself. But how can we be sure? We are not snakes.

Tuesday, November 12, 2019

Irony in Antigone: King Creon Essay

In the tragedy Antigone, Sophocles pens a tale about a stalwart and distrustful king, Creon, and his misuse of the power he possesses. In the play he disregards the law of the gods to fit his whims, something that the heroine of the play, Antigone, wholeheartedly disagrees with; she disobeys his order to leave her dead brother, Polynices, unburied and sentences herself to death in the process. Antigone is engaged to Creon’s son, Haemon, who does not agree with his father’s actions in regard to the burial of Antigone’s traitorous brother. The disagreement between father and son leads to Haemon’s suicide; ironically, Creon thinks it is his life that will be taken and not his son’s. Creon and Haemon argue about Antigone’s impending fate; their disagreement on the subject prompts a threat from Haemon: â€Å"No. Don’t ever hope for that. She’ll not die with me just standing there. And as for you— your eyes will never see my face again. So let your rage charge on among your friends Who want to stand by you in this (870-875)  Haemon declares that Antigone will not die without reaction from himself; Creon will never see Haemon again because if Antigone is killed Haemon plans to join her in death: by his own hand. Haemon then says that Creon’s rage will force Haemon’s own hand to do something that Creon will regret. Creon does not understand that Haemon is threatening his own life; instead, he believes that his own life is being threatened, and his reactions to Haemon ’s words are lined with fear, ignorance, and irony. The irony of the situation is that Creon is so blinded by his own ego that he thinks his own life is in danger, when it is actually his son’s that is. Creon only realizes the error of his assumptions and actions after Haemon commits suicide. More irony arises with the death of Haemon; he has joined Antigone in death to have what Creon denied them while living: each other. At the close of the play Antigone, Haemon, and Eurydice, Creon’s wife, have all committed suicide because of Creon’s actions. Creon is suspicious through the entire play; in the beginning he accuses Antigone and Ismene of plotting to steal his throne, saying: â€Å"You there—you snake lurking in my house, sucking out my life’s blood so secretly. I’d no idea I was nurturing two pests, who aimed to rise against my throne. Come here. (607-610)† These words are directed towards Ismene more so than Antigone because Creon already suspects her of wrongdoing. He is surprised to see Ismene lurking in the shadows as she eavesdrops on the judgment of Antigone; upon seeing Ismene, Creon is convinced that she has conspired with Antigone to steal his life and throne. In short, he is aware of one pest, Antigone, but does not consider Ismene as a pest until she is discovered eavesdropping. After Ismene is discovered Creon calls her over to be judged alongside Antigone. This is the first sign of Creon’s extreme suspicion that the reader sees; not only does he accuse Antigone and Ismene of conspiring to steal his kingship, but he accuses them of trying to take his life as well. Creon’s suspicion of his impending death is ironic because at the end of the play both Antigone and Haemon take their own lives instead of Creon’s. Creon does not realize the damage he has caused until it is too late to fix; the time for rectification of the situation has passed and he feels deep anguish at the loss of his son. He never imagines that Haemon spoke of killing himself when they had their exchange of words earlier in the play; when next to Haemon’s corpse Creon says: Aaiii—mistakes made by a foolish mind, cruel mistakes that bring on death. You see us here, all in one family— the killer and the killed. Oh the profanity of what I planned. Alas, my son, you died so young—a death before your time. Aaiii . . . aaiii . . . ou’re dead . . . gone—not your own foolishness but mine. (1406-1414) Creon explains with grief that he now realizes his actions caused the death of Haemon; his mistakes are cruel and Haemon is gone not of his own foolishness, but of Creon’s. Further irony shows after Creon discovers that his wife, Eurydice, is also dead; he asks for death by double-edged sword, when earlier he was extremely fearful about his own death and vehement about not dying. He says, â€Å" Aaaii . . . My fear now makes me tremble. Why won’t someone now strike out at me, pierce my heart with a double bladed sword?  How miserable I am . . . aaiii . . . how full of misery and pain . . . (1453-1457). † Creon begs for the death that he is unreasonably obsessed with earlier in the play; it takes the fulfillment of Haemon’s threats to make Creon seek death, and is most definitely ironic in comparison to his attitude towards death earlier in the play. Ironically, Creon now feels the misery of Antigone and Haemon, which he caused; he pierces each of their hearts respectively when he denies Antigone proper burial of her brother, Polynices, and when he denies Haemon his bride, Antigone. Creon’s final words are: Then take this foolish man away from here. I killed you, my son, without intending to, and you, as well, my wife. How useless I am, I don’t know where to look or find support. Everything I touch goes wrong, and on my head fate climbs up with its overwhelming load. (1485-1490) Once filled with immense confidence and arrogance, Creon now feels helpless and useless; ironically, he feels hopeless and distraught not because of anyone trying to steal his power or take his life, but because of his own distrustful actions and ignorant thoughts that cause his world to unravel before his very eyes.

Sunday, November 10, 2019

Perioperative handouts

Perl-operative Nursing Phases of Perl-operative period 1. PRE- operative phase 2. INTRA- operative phase 3. POST- operative phase PRE-Operative Phase Begins when the decision to have surgery is made and ends when the client is transferred to the operating table INTRA-operative Phase Begins when the client is transferred to the operating table and ends when the client is admitted to the post-anesthesia unit Post-operative Phase Begins with the admission of the client to the PACIFIC and ends when healing is complete Activities in the Pre-pop 1 . Assessing the clients 2. Identifying potential or actual health problems 3.Planning specific care 4. Providing pre-operative teaching 5. Ensure consent is signed Activities during the Intra-pop 1 . Assisting the surgeon as scrub nurse and circulating nurse Activities in the POST-pop 2. Assessing responses to surgery 3. Performing interventions to promote healing 4. Prevent complications 5. Planning for home-care 6. Assist the client to achieve optimal recovery TYPES of SURGERY 1 . According to PURPOSE 2. According to degree of URGENCY 3. According to degree of RISK Effects of Surgery on the Client Stress response (Neuroscience response) is activated Resistance to infection is lowered due to surgical incisionVascular system is disturbed due to severing of blood vessels and blood loss Organ function may be altered due to manipulation Factors influencing Surgical Risk Age Nutrition Fluid and Electrolyte balance General health status: infection, cardiovascular disease, pulmonary problems, liver dysfunctions, renal dysfunctions or metabolic disorders Medications affecting Surgery Anticoagulants like aspirin and UNSAID should be discontinued 2 weeks Tranquilizer may cause hypertension and shock Antibiotics like encyclopedias may intensify effects of anesthesia Diuretics may cause electrolyte imbalance antiphon may cause hypertension Psychological support Assess client's fears, anxieties, support system and patterns of coping Es tablish a trusting relationship with client and family Explain routine procedures, encourage fertilization of fears and allow clients to ask questions Provide for spiritual care if needed Preoperative teaching Assess client's level of understanding of surgical procedure and its implications Answer questions, clarify and reinforce explanations given by the surgeon Explain routine pre-pop and post-pop procedures Teach coughing and deep breathing exercise, splinting of incision, turning side to did.Explain its importance in preventing complications Assure client that pain medication will be given Pre-operative teaching Physical Preparation Obtain hex of past medical conditions Perform baseline head to toe examinations including vital signs Ensure that diagnostic exams are performed CB, Electrolytes, APT/APT, Urinalysis, EGG, Blood typing, Chest Cray Prepare client skin Shower with antibacterial soap to cleanse skin Skin prep if ordered: shave or clip hairs and cleanse appropriate areas to reduce bacteria on skin Administer enema if ordered Promote adequate rest and asleep Instruct client to remain NP after midnight to prevent vomiting and aspiration Pre-pop elimination Laxatives, enemas or both may be prescribed the night before surgery Have the client void immediately BEFORE transferring them to the OR Foley catheter may be inserted as ordered Legal Responsibility Surgeon obtains operative permit (Informed consent) 1. Surgical procedure, alternatives, possible complications, disfigurements 2.Part of nurse's role as client advocate to confirm that clients understands information given Informed Consent An active shared decision making process between the provider and the recipient of are. 3 conditions 1 . Adequate disclosure of the diagnosis, nature and purpose of treatment, risk and consequences, probability of successful outcome and prognosis if treatment is not done. 2. Patient must demonstrate a clear understanding and comprehension of information being provid ed 3. Recipient of care must give consent voluntarily, not persuaded or coerced to undergo the procedure. Consent are not needed for emergency care if; 1. There is an immediate threat to life 2. Experts agree that it is an emergency 3. Client is unable to consent 4. A legally authorized person cannot be reachedPreparation Immediately before surgery Obtain a baseline vital signs Provide oral hygiene and remove dentures Remove client's clothing and dress in clean gown Remove nail polish, cosmetics, Jewelry Instruct to empty bladder Check identification band Intra-operative phase interventions Determine the type of surgery and anesthesia used Position client appropriately for surgery Assist the surgeon as circulating or scrub nurse Maintain the sterility of the surgical field Monitor for developing complications Preparing the surgical site Purpose of prepping is to reduce the unit of organisms available to migrate to the surgical wound. Task is the responsibility of the circulating nur se Principle of scrubbing from the clean area to dirty area is observed at all times Anesthetics Anesthetics are drugs that are used to cause complete or partial loss of sensation. The numerous anesthetics can be broadly classified as : 1. General 2.Local anesthetics General Anesthesia Loss of sensation with loss of consciousness Skeletal muscle relaxation Analgesia Elimination of somatic, autonomic and endocrine response including coughing, gagging and vomiting Protective reflexes are lost Amnesia, analgesia and hypnosis occur Administered in two ways: Inhalation Intravenous IV anesthetics Produces rapid, smooth induction, may be used alone in short procedures Common IV anesthetics: methodical, Sodium tapeline (Penetrate), modally Disadvantages: poor relaxation, respiratory and myocardial depression in high doses, bronchiole's, laryngitis's, hypertension and respiratory depression Dissociation Agents Produce state of profound analgesia, amnesia and lack of awareness without loss of consciousness Astatine (Catalan) Side effects: tachycardia, hypertension, respiratory depression, hallucinations Precautions: decrease verbal, tactile and visual stimulation during recovery periodNarcoleptics Produces state of narcoleptic analgesia characterized by reduced motor activity and analgesia without loss of consciousness Fontanel citrate (Innovator) SE; hypertension, brickyard, respiratory depression, skeletal muscle rigidity, twitching Precaution: reduce narcotic dose to prevent respiratory depression Local Anesthesia Local anesthetics are drugs that cause a loss of sensation in limited areas of the body to abolish pain. They are powerful nerve blockers injected locally. Systemic absorption of the anesthetics can produce numerous side effects. Examples of Local anesthetics: The â€Å"CANINES† Loading Debasing Procaine Terracing The side effects of local anesthetics Local effects- local irritation and skin breakdown CONS effects if systemic absorption occurs- heada che, restlessness, anxiety, dizziness, tremors and blurred vision.GIG system- nausea, vomiting Cardiac- arrhythmias, peripheral vacillation, myocardial depression, and rarely, cardiac arrest Nursing Responsibilities Maintain emergency equipment on standby to provide life-support in cases of severe reactions Ensure that drugs are available for managing hypertension, cardiac arrest ND CONS alterations. Provide adequate hydration to patients receiving spinal anesthesia. Position the client supine for up to 12 hours after spinal anesthesia to minimize spinal headache Provide safety and comfort measures such as side-rails up, frequent skin care and supportive care Give health teaching to explain things the patient needs to know to allay fears. Stages of Anesthesia Depth Usually trained individuals with the special equipments ready for life support administer the agents The patient undergoes through a predictable stages known as STAGES of ANESTHESIA: 1 to 4

Thursday, November 7, 2019

Free Essays on McDonald’s “Seniors” Restaurant

McDonald’s â€Å"Seniors† Restaurant Case Analysis In the study of the briefing of the McDonald’s Restaurant, there are positives to the problem and negatives towards the problem. A McDonald’s in a city crowded with seniors are overwhelmed with senior customers during the early hours of the day. The senior come in as a meeting area where they eat and commune at the restaurant. The number of seniors that come in, crowds the dining area in which customers come in and eat. They come in on the fourth Monday of every month to get extra special, over the age of 55 discounts. This is a meal that cost 1.99 and free coffee refills. The staff knows the seniors very well and go to see them if they are hospitalized. The relationship is considered a good one between the staff and the seniors. In addition, a idea of adding bingo to add to the excitement of the mornings for the seniors from nine to eleven a.m. Using the party room would accommodate up to 150 senior patrons. Isolate the Salient Problem A primary problem to this case study is the senior crowd. The restaurant already takes on the task of having enough room to seat the entire dining style crowd, if it engages in bingo than the crowd will become even more outrageous. Not only will the restaurant have the meeting crowd they will have a bingo crowd as well. Meaning, that more senior crowd will come in ready and only ready to engage in bingo. A secondary problem would be the title of the restaurant would be at risk. The fast food label may become a social restaurant, common to a bar status. It may take on the name of the â€Å"old people’s restaurant†. This will detour many of the younger customers and the customers who are coming to get the fast food service. The restaurant will face over crowding due to the new additions (bingo). Accumulate and Organize relevant facts Seniors are mainly the people who enjoy doing activities such as bingo. Bingo co... Free Essays on McDonald’s â€Å"Seniors† Restaurant Free Essays on McDonald’s â€Å"Seniors† Restaurant McDonald’s â€Å"Seniors† Restaurant Case Analysis In the study of the briefing of the McDonald’s Restaurant, there are positives to the problem and negatives towards the problem. A McDonald’s in a city crowded with seniors are overwhelmed with senior customers during the early hours of the day. The senior come in as a meeting area where they eat and commune at the restaurant. The number of seniors that come in, crowds the dining area in which customers come in and eat. They come in on the fourth Monday of every month to get extra special, over the age of 55 discounts. This is a meal that cost 1.99 and free coffee refills. The staff knows the seniors very well and go to see them if they are hospitalized. The relationship is considered a good one between the staff and the seniors. In addition, a idea of adding bingo to add to the excitement of the mornings for the seniors from nine to eleven a.m. Using the party room would accommodate up to 150 senior patrons. Isolate the Salient Problem A primary problem to this case study is the senior crowd. The restaurant already takes on the task of having enough room to seat the entire dining style crowd, if it engages in bingo than the crowd will become even more outrageous. Not only will the restaurant have the meeting crowd they will have a bingo crowd as well. Meaning, that more senior crowd will come in ready and only ready to engage in bingo. A secondary problem would be the title of the restaurant would be at risk. The fast food label may become a social restaurant, common to a bar status. It may take on the name of the â€Å"old people’s restaurant†. This will detour many of the younger customers and the customers who are coming to get the fast food service. The restaurant will face over crowding due to the new additions (bingo). Accumulate and Organize relevant facts Seniors are mainly the people who enjoy doing activities such as bingo. Bingo co...

Tuesday, November 5, 2019

Typing Spanish Accents and Symbols in Ubuntu Linux

Typing Spanish Accents and Symbols in Ubuntu Linux Typing Spanish characters on a computer keyboard laid out for English speakers can be cumbersome - but Ubuntu Linux offers a way to to make it easy with little interference to your English typing. The key to easily typing non-English characters - especially those from European languages including Spanish - is switching to different keyboard layout than the default. A more cumbersome method using the Character Map is also available if you type Spanish infrequently. How To Switch to a Spanish-Capable Keyboard The procedure for typing Spanish accents, letters and symbols as explained here is based on Ubuntu 16.04 LTS (Xenial Xerus), the most recent stable version for long-term use. It should work in other distributions using the Gnome desktop. Otherwise, details will vary with the distribution. To change or add the keyboard layout in Ubuntu, select Preferences from the System Tools menu, and then select Keyboard. Click on Text Entry (other versions may say Layouts) to add or change the keyboard layout. For U.S. residents using English as a first language, the best choice (and the one explained here) is the USA International (with dead keys) layout. The USA International (with dead keys) layout gives you two ways of typing Spanish letters (and the letters of some other European languages) with diacritical marks, the dead-key method and the RightAlt method. Using Dead Keys The keyboard layout sets up two dead keys. These are keys that seem to do nothing when you press them. But what they actually do is affect the following letter you type. The two dead keys are the apostrophe/quotation key (usually to the right of the colon key) and the tilde/opening-single-quote key (usually to the left of the 1 key). Pressing the apostrophe key will place an acute accent (like on the à ©) on the following letter. So to type an à © with the dead-key method, press the apostrophe key and then the e. (To make a capital accented É, press and release the apostrophe, and then press the shift key and e at the same time.) This works for all of the Spanish vowels (as well as some other letters used in other languages). To type the à ±, the tilde key is used as the dead key. Press the shift and tilde keys at the same time (as if you were typing a stand-alone tilde), release them, then press the n key. (The location of the tilde key varies but is often to the left of the 1 key in the top row.) To type the à ¼, press the shift and apostrophe/quotation key at the same time (as if you were typing a double quotation mark), release them, and then press the u key. One problem with the use of dead keys is that they dont work well for their original function. To type an apostrophe, for example, you have press the apostrophe key and follow that with the space bar. Using the RightAlt Method The USA International (with dead keys) layout gives you a second method of typing the accented letters, as well as the only method for Spanish punctuation. This method uses the RightAlt key (usually to the right of the space bar) pressed at the same time as another key. For example, to type the à ©, press the RightAlt key and the e at the same time. If you want to capitalize it, you need to press three keys simultaneously: the RightAlt, e and shift keys. Similarly, the RightAlt key can be used in conjunction with the question mark key to make the inverted question mark, and with the 1 key to make the inverted exclamation point. These methods do not work the the Alt key on the left side of the keyboard. Here is a summary of the Spanish characters and symbols you can make with the RightAlt key: - RightAlt a- RightAlt Shift aà © - RightAlt eÉ - RightAlt e Shiftà ­ - RightAlt ià  - RightAlt i Shiftà ± - RightAlt nÑ - RightAlt n Shiftà ³ - RightAlt oÓ - RightAlt o Shiftà º - RightAlt uÚ - RightAlt u Shiftà ¼ - RightAlt yÃÅ" - RightAlt y Shift ¿ - RightAlt ? ¡ - RightAlt ! « - RightAlt [ » - RightAlt ] Unfortunately, the USA International (with dead keys) layout doesnt appear to offer a way to type the quotation dash (also called a long dash or emdash). Those who are familiar with Linux can modify the xmodmap file or use various utilities to remap a key on the keyboard to make that symbol readily available. How To Switch Between Standard and International Keyboards If you spend most of your time writing in English, the dead apostrophe key can become annoying. One solution is to install two keyboard layouts using the Keyboard configuration tool described above. To easily switch between layouts, install the Keyboard Indicator in one of your panels. Right-click on a panel, select Add to Panel and then select Keyboard Indicator. Once its installed, you can click on it anytime to switch layouts. Using the Character Map The Character Map provides a graphical display of all the characters available and can be used to select characters one-by-one for insertion in your document. In Ubuntu Linux, the Character Map is available by selecting the Applications menu, then the Accessories menu. The Spanish letters and punctuation can be found in the Latin-1 Supplement listing. To insert a character in your document, double-click on it, then click Copy. Then you can paste it in your document in the normal way, depending on your application.

Sunday, November 3, 2019

Global Strategy Management - Cultural Considerations Assignment

Global Strategy Management - Cultural Considerations - Assignment Example Religion is another cultural consideration that I would take into account in my strategy to expand into India. An example of how I would factor in religion in my strategy is to recommend that company representatives do not order beef in restaurant because the cow is a holy creature in Hinduism and Hindus would feel insulted and this would impact negatively on our business in the country. Festivals and holidays are another cultural consideration in strategizing for entry into India. There are many national and religious celebrations that Indians observe and I would recommend that our business be closed during some of those celebrations because it would show honor for these events (Millar, 2006). Another cultural consideration in expanding business into India is the many languages used by Indians. I would be keen in cautioning that the various Indian ethnic groups speak different languages and as such, business representatives should be careful to learn the meaning of different Indian words before using them in doing business. Respect for the elderly is another cultural consideration and my strategy would also recommend that our business representatives show respect to elderly customers in order to enhance the success of the corporation (Cullen & Parboteeah, 2014). This would not impact our current strategy negatively but will make it more versatile. This is because as much as we have spelt out all the things the corporation will need to launch business in India and start operating, the endeavor cannot succeed unless there is a way to forge a working alliance with the locals. Taking India’s cultural considerations into account in our strategy will make it versatile particularly because it will match well with John and Deborah’s corporation’s exceptional customer service for which it is reputed in the industry. A cultural consideration that helps cultivate a close relationship with Indian customers would help vary our activities in order to suit the

Friday, November 1, 2019

In what cases is U.S. military intervention in other countries Research Paper

In what cases is U.S. military intervention in other countries justifiable In what cases is it not - Research Paper Example In any case, America is fighting with other countries all the time one way or other. It is difficult to justify all these wars conducted by United States. The Afghanistan war can be justified up to certain extent because of the brutalities committed by the Muslim fundamentalist group Taliban. Moreover, America has support from the existing Afghanistan political regime in destroying Talibanism from Afghan soil. However, same thing cannot be said about the recent Iraq war. It was conducted against the will of the political administration in Iraq. Moreover, the reasons cited for attacking Iraq were rejected by other countries. The theory of weapons of mass destruction was indigestible to other countries. America is still struggling to justify Iraq war since they failed to seize any weapons of mass destruction from Iraq. This paper analyses in what cases is U.S. military intervention in other countries is justifiable and in what cases is it not. On March 20, 2003 America with the help of its allies attacked Iraq, accusing Iraq for the possession of illegal chemical, biological and nuclear weapons or weapons of mass destruction. Moreover, America explained to the world that the possession of such serious weapons may cause immense threat to the global peace. However, even after the execution of Saddam Hussein, American troops failed to seize any such weapons from Iraqi soil. ... It is illegal to attack a country for exploiting its natural resources. Sovereignty of a country should be respected in order to keep global peace intact. It is fact that most of the Middle Eastern countries including Iraq were administered by some dictators. However, spreading of democracy through war cannot be justified under any circumstances. Bush Jr. spent billions of dollars just for saving the pride of his father. The current financial crisis is believed to be the by-product of Iraq war. In other words, Iraq war not only affected the Iraqi people, but it affected the Americans also. Many of the American soldiers sacrificed their lives in Iraq in their efforts to bring peace back in Iraq. The cost of Iraq war can be better analyzed with the help of following illustration. (Cost of Iraq War and Nation Building) â€Å"According to an article by Stephen Gowans, the US command knowingly violated Article 54 of the Geneva Convention which prohibits any country from undermining objec ts indispensable to the survival of (another country's) civilian population" (Abuelo). Iraq war resulted in large scale looting and criminal disorder, especially in Baghdad and Basra. Coalition forces were quite unable to maintain public order and the Iraqi police forces largely withdrew from the major centers of population (Rogers, p.13). In other words, the coalition forces failed to keep their word they given to the external world; a peaceful Iraq without Saddam. In short, Iraq war or America’s intervention in Iraq could not be justified under any circumstances. The reasons cited for the wars were illogical and Americans forced pay big prices for this war in the form of big expenditure and the sacrifice of the lives of many of its people.